Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $12,022.64 / $23,988.33	Facility		$724.44	$12,022.64	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $2,089.30	Professional		$389.05	$537.03	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $645.65	Professional		$630.96	$630.96	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $6,025.60	Facility		$3,548.13	$3,548.13	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,148.15	Professional		$467.74	$724.44	$1,148.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $912.01 / $13,182.57	Facility		$512.86	$912.01	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $4,897.79	Professional		$489.78	$851.14	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $891.25	Facility		$630.96	$758.58	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $524.81 / $524.81	Facility		$512.86	$524.81	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,122.02	Professional		$524.81	$870.96	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $14,791.08 / $28,183.83	Facility		$9,772.37	$14,791.08	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,047.13	Professional		$524.81	$758.58	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $18,620.87 / $32,359.37	Facility		$1,995.26	$18,620.87	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,096.48	Professional		$398.11	$676.08	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $645.65	Professional		$346.74	$467.74	$645.65